Active NPI
Shangri-la Physical Therapy
- Physical Therapy Clinic/Center
- Pearce, AZ
National Provider Identifier
1306036033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1500
- Legal business name
- SHANGRI-LA PHYSICAL THERAPY
- Practice address
- 105 Frontage Rd
Ste F
Pearce, AZ 85625 - Phone
- (520) 826-3222
- Fax
- (520) 826-3222
- NPI assigned
- Jul 30, 2007
- Last updated
- Aug 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Erika M Slover, PT
- Title
- Owner Physical Therapist
- Phone
- (520) 826-3222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 1500 | AZ | Primary |
Addresses
Primary practice location
105 Frontage Rd
Ste F
Pearce, AZ 85625
Mailing address
PO Box 304
Pearce, AZ 85625-0304
Phone (520) 826-3222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 783078 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Pearce, AZ
- NPI 1467504738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1306036033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 304",
"city": "PEARCE",
"state": "AZ",
"postal_code": "856250304",
"telephone_number": "520-826-3222",
"fax_number": "520-826-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 FRONTAGE RD",
"address_2": "STE F",
"city": "PEARCE",
"state": "AZ",
"postal_code": "85625",
"telephone_number": "520-826-3222",
"fax_number": "520-826-3222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHANGRI-LA PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-30",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "SLOVER",
"authorized_official_first_name": "ERIKA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
"authorized_official_telephone_number": "520-826-3222",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "AZ",
"license": "1500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "783078",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pearce, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.